NPI | 1497891568 |
---|---|
Doing Business As | GREAT BASIN ORTHOPAEDICS |
Entity Type | Organization |
Authorized Contact | THOMAS M FYDA President 775-786-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2007-01-29 |
Last Update Date | 2023-05-30 |